The appropriate application of an abdominal binder includes:
A. Leaving any underlying wounds uncovered
B. Padding the iliac prominences of a thin client
C. Positioning of the client supine with the head and legs flat
D. Applying it so that the ability to deep-breathe is somewhat limited
B
B. If client is very thin, pad iliac prominences with gauze bandage.
A. Dressing replacement or reinforcement precedes application of any binder. If left uncovered, a wound can be damaged from rubbing of binder.
C. Position client in supine position with head slightly elevated and knees slightly flexed.
D. Recheck client's ability to breathe deeply and cough effectively. Shallow respirations, continuing after a tight binder has been loosened, may indicate beginning of serious respiratory problems, including alveolar atelectasis and pulmonary embolus, among others.
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The best time for the nurse to begin preparing for the NCLEX-PNĀ® is:
1. Six weeks before graduation from nursing school. 2. Immediately after graduation from nursing school. 3. The first day of class when beginning nursing school. 4. The first day of the last course in nursing school.
While obtaining the medical history of a 72-year-old client, the nurse discovers that the client is lactose intolerant. Tests reveal that she has less than normal bone density
Which of the following dietary suggestions should the nurse make to reduce her chances of developing osteoporosis? A) Consume fresh fruits and vegetables. B) Consume milk, cheese, and yogurt. C) Consume supplemental calcium. D) Drink eight glasses of water per day.
The nurse is admitting an 8-year-old Vietnamese child who hit a parked car while riding a bike. The child has a fracture of the left radius and femur in addition to a fractured orbit
The child is stoic and denies pain. An appropriate action by the nurse is which of the following? (Select all that apply.) 1. Use the FLACC scale to determinethe child's pain level. 2. Tell the child to ring the call bell ifthe leg starts hurting. 3. Administer pain medication now andcontinue on a regular basis. 4. Ask the child's parents to notifythe nurse if the child complains of pain.
A nurse is teaching a colleague about the difference between age-related changes and risk factors. Which of the following examples should the nurse use when discussing age-related changes?
A) An older adult with a diagnosis of diabetes mellitus B) An older adult who is obese C) An older adult with obstructive lung disease D) An older adult with decreased bowel motility